Deficiency Records for Victoria Gardens of Frisco
Updated as of June 01, 2021
This is not the most recent data for Victoria Gardens of Frisco. For the most recent information, click here.
A list of the most recent deficiencies for Victoria Gardens of Frisco. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-23 | 2020-10-23 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-24 | 2020-10-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-24 | 2020-10-17 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-09-24 | 2020-10-17 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-09-24 | 2020-10-17 | N |
Provide activities to meet all resident's needs. | Health | 2020-09-24 | 2020-10-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-24 | 2020-10-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-24 | 2020-10-17 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-03-04 | 2020-03-27 | Y |
Meet other general requirements. | Fire Safety | 2019-06-21 | 2019-12-23 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-21 | 2019-12-16 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-06-21 | 2019-12-16 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-21 | 2019-12-16 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-21 | 2019-12-16 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-21 | 2019-12-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-21 | 2019-12-16 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-06-21 | 2019-06-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-21 | 2019-06-22 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-21 | 2019-06-22 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-21 | 2019-06-22 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-06-21 | 2019-06-22 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-06-21 | 2019-06-22 | N |
Provide and implement an infection prevention and control program. | Health | 2019-06-21 | 2019-06-22 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-04-10 | 2019-04-17 | Y |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-03-06 | 2019-04-05 | Y |
Provide and implement an infection prevention and control program. | Health | 2019-03-06 | 2019-04-05 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-07 | 2018-07-06 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-08 | 2018-07-06 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-08 | 2018-07-06 | N |
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2018-06-08 | 2018-07-06 | Y |